Introduction
Hormonal regulation is a cornerstone of male reproductive and sexual health. Testosterone, the principal male androgen, plays a critical role in sexual development, libido, spermatogenesis, muscle mass, bone density, metabolic function, and psychological well-being.
Andrology focuses extensively on disorders related to androgen deficiency and hormonal imbalance, which may significantly impair quality of life.
Causes and Manifestations of Hormonal Disorders
Testosterone deficiency may result from aging, primary testicular failure, hypothalamic or pituitary dysfunction, chronic illness, medication use, or lifestyle factors. Symptoms often include reduced sexual desire, erotic sense, erectile dysfunction, fatigue, muscle weakness, increased body fat, mood disturbances, and cognitive decline.
Because symptoms develop gradually, many men remain undiagnosed without targeted evaluation.
Therapeutic Management
Management strategies include lifestyle modification, treatment of underlying medical conditions, and, when appropriate, testosterone replacement therapy under strict medical supervision. Continuous monitoring is essential to ensure safety and therapeutic effectiveness.
Conclusion
Hormonal health is central to andrology. Accurate diagnosis and appropriate management of testosterone disorders can restore vitality, sexual function, and overall well-being.